Midlothian Kids Academy

8VAC20-780-160-C

“At least every two years from the date of the initial screening or testing, or more frequently if recommended by a licensed physician or the local health department, staff members and individuals from independent contractors shall obtain and submit the results of a follow-up tuberculosis (TB) screening. Staff #4 was three months overdue for a follow-up TB screening.”

Rule 8VAC20-780-160-C.

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. A torn child size chair was located in the reading area in Classroom A. The tears in the chair exposed foam. There were six children in Classroom A during the inspection.”

Rule 8VAC20-780-270-A.

8VAC20-780-550-P

“The center shall maintain a written record of children’s serious and minor injuries in which entries are made on the day of occurrence. The record shall include the date and time when parents were notified. Eight injury reports were reviewed during the inspection. Seven of the eight injury reports did not include the time when the parents were notified.”

Rule 8VAC20-780-550-P.

8VAC20-780-160-A

“Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis (TB) screening. The documentation for the screening shall be submitted at the time of employment and prior to coming into contact with children. The record for Staff #4 did not contain documentation of a negative TB screening. Staff #4 has been employed for 10 days, supervising children.”

Rule 8VAC20-780-160-A.

8VAC20-780-270-A

“The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. Classroom #1 had a floor mat that contained multiple tears in the equipment. Classroom #2 had an area of peeling paint underneath the window. The area was accessible to the children.”

Rule 8VAC20-780-270-A.

8VAC20-780-280-B

“Hazardous substances must be in a locked place that prevents access by children. The unlocked closet located in Classroom #3 contained three cleaning chemicals labeled ?Keep Out of the Reach of Children?.”

Rule 8VAC20-780-280-B.

8VAC20-780-510-B

“Prescription and nonprescription medication shall be given to a child, only with written authorization from the parent. Medication was present at the center for Child #7. The medication was given to Child #7 daily and documented on the medication log. There was no written authorization on file signed by the parents.”

Rule 8VAC20-780-510-B.

8VAC20-780-560-G

“When food is brought from home, the food container shall be sealed and clearly dated and labeled in a way that identifies the owner. Eight water cups located in Classroom #4 were not labeled or dated. The eight water cups were provided from the children’s homes.”

Rule 8VAC20-780-560-G.

22.1-289.035-A

Rule 22.1-289.035-A.

8VAC20-780-270-A

“Repeat Violation The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. A child’s size blue sofa located in Classroom #1 had an approximate 10-inch tear in it.”

Rule 8VAC20-780-270-A.

8VAC20-780-160-A

“Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, and shall have been completed within the last 30 days of the date beginning employment. The screening for Staff #7 was completed two days after hire.”

Rule 8VAC20-780-160-A.

8VAC20-780-270-A

“The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. The mesh gate in the Toddlers classroom was broken, creating an entanglement hazard.”

Rule 8VAC20-780-270-A.

8VAC20-780-70

“Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff #6, who has been actively working at the center for the past three weeks, did not have any completed reference verifications on file. Staff #7, who has been actively working at the center for the past four weeks, did not have any completed reference verifications on file.”

Rule 8VAC20-780-70.

Based on review of a child’s record and interview, the center did not ensure that the person enrolling the child presented proof of the child’s identity and age as required.

“Evidence: The record of C1, date of enrollment 7/24/23 contained a ?Proof of Identification? form. Center staff did not verify, sign, or date the form to document that the child’s age and identity had been verified. The director acknowledged that the form was incomplete.”

Rule 8VAC20-780-40-G.

Based on the review of one child’s record (C1), and interviews with staff members (S2 and S3), the agency failed to obtain immunizations for a child as required.

“Evidence: The first day of attendance for C1 was 9/11/23. The immunizations in the record for C1 were dated 10/27/23. In exit interviews on 6/04/24, S2 and S3 acknowledged that the immunizations in the record for C1 were not received before the child started attending the center.”

Rule 8VAC20-780-130-A. From a complaint.

Based on the review of two children’s records (C1 and C2), and interviews with staff members (S2 and S3), the agency failed to obtain two children’s physical examinations as required.

“Evidence: The first day of attendance for C1 was 9/11/23. The physical examination in the record for C1 was dated 10/27/23. The physical examination was not completed within 30 days after the first day of attendance. The first day of attendance for C2 was 2/08/24. There was no physical examination in the record for C2. In exit interviews on 6/04/24, S2 and S3 acknowledged that the physical examination in the record for C1 was not completed within the required timeframe and that there was no physical examination for C2.”

Rule 8VAC20-780-140-A. From a complaint.

Based on the review of one child’s record (C1), and interviews with staff members (S2 and S3), the agency failed to maintain information in the child’s record as required.

“Evidence: The record of C1 did not contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. In an exit interview on 6/04/24, S2 and S3 acknowledged that there was one emergency contact listed in the file of C1.”

Rule 8VAC20-780-60-A. From a complaint.

Based on a record review and a staff interview, the center failed to inform the department’s representative of any injury that occurs at the center that requires outside medical care.

“Evidence: A child (C1) was taken to the hospital on 5/24/24 after being at the center all day due to concerns about the child’s diaper rash. In interviews with two staff members (S2 and S3) on 6/04/24, S2 and S3 acknowledged that they were aware that the child received outside medical care and that no incident report was sent.”

Rule 8VAC20-780-80-B-2. From a complaint.

Based on staff interviews and review of video footage, a staff member did not provide needed help and comfort to a child after the child tipped over backwards in her chair and fell out of the chair onto the floor.

Rule 8VAC20-780-400-A. From a complaint.

Based on staff interviews and review of video footage, a staff member roughly handled a child.

“Evidence: Video footage documented an incident on 5/08/24 in which a staff member (S1) grabbed a child’s ankle (C1) to stop the child from leaning back in her chair. C1 (age 3 years 5 months) fell backwards in her chair and fell out of the chair onto the floor. Staff (S3, S4, and S5) acknowledged in interviews that S1 handled the child roughly. S1 was terminated from employment the next day.”

Rule 8VAC20-780-410-1. From a complaint.

Based on interview and record review, the center failed to keep staff records as required.

“Evidence: In an interview, S2 reported that she was promoted from an aide to a teacher in February of 2024. The record of S2 does not document 24 hours of training related to the care of children between August of 2023 and March 2024 as required. There was documentation of one hour of training on 8/17/23 and documentation of 2 hours of training on 9/25/23. S3 stated that they provide training every month and that they will gather the documentation for the file.”

Rule 8VAC20-780-70. From a complaint.

Based on a record review and a staff interview, the center failed to ensure that any suspected incident of child abuse and neglect shall be reported in accordance with ?63.2-1509.

“Evidence: An anonymous complaint was received on 5/09/24 regarding an incident that took place on 5/08/24 alleging that a staff member roughly handled a child (C1) and failed to provide needed help and comfort to the child (C1). A self report was received from the center on 5/10/24 reporting a staff member’s neglect regarding the same incident. In an interview on 5/10/24, the Director acknowledged that they did not contact the local department of Social Services as required.”

Rule 8VAC20-780-80-B. From a complaint.

Based on the review of a child’s record (Child #1) and an interview with a center representative (CR #1), the agency failed to include required elements in the written record of children’s serious and minor injuries.

“Evidence: Child #1 was injured during an activity at the center on 4/2/2024. The injury report for Child #1 did not include: the names of all staff that were present, the outside medical treatment received, the time that the parent was notified, and any future action to prevent recurrence of the injury. In an exit interview on 4/15/24, CR #1 acknowledged that the elements listed above were not included in the injury report.”

Rule 8VAC20-780-550-P. From a complaint.

Based on the review of a child’s record (Child #1) and an interview with a center representative (CR #1), the agency failed to inform the department’s representative within 2 business days of the injury to the child that required outside medical attention.

“Evidence: In an interview on 4/15/24, CR #1 confirmed that Child #1 needed outside medical treatment for the injury received on 4/02/24. In an exit interview on 4/15/24, CR #1 acknowledged that the department’s representative was not notified.”

Rule 8VAC20-780-80-B-2. From a complaint.

8VAC20-780-130-A

“Based on review of ten children’s records, the facility failed to have the immunization record for each child before the child can attend the center. Evidence: Child 3 (date of enrollment 9/26/2022) did not have documentation of an immunization record.”

Rule 8VAC20-780-130-A.

8VAC20-780-140-A

“Based on review of ten children’s records, the facility failed to have a physical examination for each child within 30 days of attendance. Evidence: Child 3 (date of enrollment 9/26/2022), Child 5 (date of enrollment 7/5/2022), Child 6 (date of enrollment 1/3/2023), and Child 8 (date of enrollment 9/18/2023) did not have documentation of a physical.”

Rule 8VAC20-780-140-A.

8VAC20-780-160-A

Rule 8VAC20-780-160-A.

8VAC20-780-380-A-2

“Based on observation and staff interview, the failed to limit the designated rest period to no more than two hours per day. On 3/08/2024, the toddler and twos classrooms, the children were on cots for rest at 11:30 a.m. and remained on cots until 2:30 p.m. Staff confirmed that the children had rest time for 3 hours.”

Rule 8VAC20-780-380-A-2.

8VAC20-780-440-L

“Based on observation, the facility failed to prevent the use of pillows for children under two years of age. Evidence: In toddler room, there were two children under the age of two years that were using pillows while on their cots.”

Rule 8VAC20-780-440-L.

8VAC20-780-510-P

“Based on review of four medications, the facility failed to notify parents that that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed. Evidence: Child A’s medication authorization expired 3/08/2024, and Child C’s medication authorization expired 2/15/2024. The authorizations had not been renewed and the medications were not returned or destroyed as required. The medication was on site.”

Rule 8VAC20-780-510-P.

8VAC20-780-570-B

“Based on observation, the center did not ensure that bottles were not used while children are in their designated sleeping location. Evidence: In the toddler classroom, two children were observed on their cots with bottles.”

Rule 8VAC20-780-570-B.

8VAC20-780-60-A

“Based on review of five children’s records, the facility failed to have required information in each child’s file. Evidence: Child 2, Child 3, Child 6, and Child 8 did not have documentation of the name and phone number of the child’s physician.”

Rule 8VAC20-780-60-A.

Based on observation, the center failed to ensure hazardous substances such as cleaning material, insecticides, and pesticides were kept in a locked place using a safe locking method that prevents access by children.

“Evidence: 1. A bottle of home defense insect killer was observed being used to prop the center director’s office door open. 2. During the inspection a child was observed in the center director’s office.”

Rule 8VAC20-780-280-B. From a complaint.

Based on review of staff records, the vendor did not ensure that each staff complete annually the Virginia Annual Health and Safety Update Course sponsored by the Department.

“Evidence: The record for Staff #1 (date of hire: 5/25/2022) contained documentation of the Virginia Annual Health and Safety Update Course dated 5/25/2022.”

Rule 8VAC20-790-600-F.

Based on record review and interview, the center failed to obtain a child abuse and neglect search from any state in which the individual has resided in the preceding five years.

“Evidence: 1.The record for Staff #7 (date of hire: 3/6/23) documented a sworn disclosure statement, indicating having resided outside of the state of Virginia within the preceding five years. 2.There was not an out of state child abuse and neglect search documented in the record for Staff #7 and no additional information was provided. 3. During an interview, with the center director, it was acknowledged that the record did not document the search results for Staff #7.”

Rule 22.1-289.035-B-4.

Based on review of two applicant/agent background checks, the center failed to ensure a sworn disclosure statement was completed every five years.

“Evidence: 1. The most recent sworn disclosure statement documented for applicant/agent (A) A#1, is dated 1/1/2017. 2. The most recent sworn disclosure statement documented for applicant/agent (A) A#2, was dated 1/26/2017. 3. During an interview, the center director acknowledged the sworn disclosure statements for the applicants/agents were not completed every 5 years.”

Rule 22.1-289.036-A.

Based on review of eleven staff records, the center failed to ensure that the sworn disclosure statement was signed prior to employment.

“Evidence: 1. Staff #4?s date of hire was 6/19/2023. The sworn disclosure statement was signed on 6/21/2023.”

Rule 8VAC20-770-60-B.

Based on review of eleven staff records and interview, the center failed to ensure a search of the central registry was completed for each staff by the end of the 30th day of employment.

Rule 8VAC20-770-60-C-2.

Based on review of 10 child records, the center failed to ensure that each child had a physical examination by or under the direction of a physician before attendance or within 30 days after attendance.

“Evidence: At the time of review, there was no physical examination in the record of Child #6. Child #6 had a documented first date of attendance of 11/29/21.”

Rule 8VAC20-780-140-A.

Based on review of eleven staff records, the center did not ensure that each staff member submitted documentation of a negative tuberculosis screening at the time of employment and before coming into contact with children.

“Evidence: 1. The record for staff #11 (date of hire: 1/23/23) documented a tuberculosis screening dated 4/13/2023.”

Rule 8VAC20-780-160-A.

270-A Based on observation and interview, the center did not ensure that areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition.

“Evidence: 1. One bathroom located in the Pre-K room had 2 chipped paint areas on the wall. 2. The center director observed and acknowledged the chipped paint areas.”

Rule 8VAC20-780-270-A.

Based on observation, the center did not ensure soiled diapers are disposed of in a storage system that is either foot-operated or used in such a way that neither the staff member’s hand nor the soiled diaper touches an exterior surface of the storage system during disposal.

“Evidence: 1.The foot-operated diaper trash can in infant room #100 was observed as not operable with the foot-operated step. The lid required manual lifting. 2. A teacher in the room was observed lifting the lid with her hand to dispose of a diaper.”

Rule 8VAC20-780-500-B.

Based on observation, the center did not ensure that prepared infant formula was refrigerated, dated and labeled with the child’s name.

“Evidence: The refrigerators in the infant rooms contained infant bottles with no dates.”

Rule 8VAC20-780-570-E.

22.1-289.035-B-2

“Based on review of ten staff files, the facility failed to obtain a national fingerprint background check for two staff prior to employment as required. Evidence: Staff 2 (date of employment 9/28/2022) did not receive fingerprint results until 11/15/2022. Staff 3 (date of employment 10/31/2022) did not have fingerprint results until 2/1/2023. Center management confirmed the staff worked without results.”

Rule 22.1-289.035-B-2.

8VAC20-770-60-C-2

Rule 8VAC20-770-60-C-2.

8VAC20-780-270-A

“Based on observation, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: the landscape fabric on the toddler playground was exposed and ripped, causing a tripping hazard.”

Rule 8VAC20-780-270-A.

8VAC20-780-510-B

“Based on review of seven medications for six children, the facility failed to have written authorization from the parent to administer medication. Evidence: The parent did not provide written authorization for the facility to administer medication to Child A or Child B.”

Rule 8VAC20-780-510-B.

8VAC20-780-510-E

“Based on review of seven medications, the center failed to follow procedures to prevent an outdated medication to be on-site. Evidence: The emergency medication for Child D expired 10/06/2022.”

Rule 8VAC20-780-510-E.

8VAC20-770-60-C-2

“Based on review of seven staff files, the facility failed to have a completed search of the central registry ( CPS check) within 30 days of employment. Evidence: Staff 2 (date of hire 5/2/2022) and Staff 7 (date of hire 9/27/2021) did not have documentation of a completed search of the central registry ( CPS check).”

Rule 8VAC20-770-60-C-2.

8VAC20-780-140-A

“Based on review of six children’s files, the facility failed to obtain documentation of a physical for each child within 30 days of enrollment. Evidence: Child D (date of enrollment 3/7/2022) did not have a physical on file.”

Rule 8VAC20-780-140-A.

8VAC20-780-510-B

“Based on review of medications, the facility failed to have current authorization from the parent to administer medication. Evidence: The parent did not provide written authorization for two medications for Child 3. The medication authorization for one of Child 7’s medications expired in 12/2021.”

Rule 8VAC20-780-510-B.

22VAC40-185-400-B

Rule 22VAC40-185-400-B. From a complaint.